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Organization

MICHIGAN WELLNESS SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREL RAE BACKING LPC (COUNSELOR)
(616) 238-6690
Entity
Organization

Contact information

Practice address
1401 60TH ST SE STE B, KENTWOOD, MI 49508-7065
(616) 238-6690
Mailing address
1401 60TH ST SE STE B, KENTWOOD, MI 49508-7065
(616) 238-6690

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/06/2024
Last updated
05/31/2025
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